The Development of Non-verbal Communication Instruction Program for Children with Severe Motor Impairments

在本研究中，首先设计一个程序，指导严重运动障碍儿童通过增强性沟通设计获得沟通技能。1996年，该方案针对语言表达明显受限的Werdnig-Hoffmann病患儿进行了详细的设计，并对3例Werdnig-Hoffmann病患儿进行了有效性检验。它包括三个方面，“设计控制”，“字母学习”和“日常沟通”。每一个领域都被分成了小步骤，并为每个孩子设定了目标，以获得日常生活中使用计算机的沟通能力。1997年，这三个孩子实际上尝试了这个项目。因此，他们都获得了设计控制技能。此外，其中两人似乎改善了平假名的声音和语言表达。最后，根据研究的证据，对该方案进行了重新评估和部分修订。总之，未解决的问题，如他们获得的技能应用于日常生活的情况和广泛的实践方案，必须在未来进一步研究。

In this study, at first, a program was developed which instructs children with severe motor impairments acquire communication skills through augmentative communication devises. Then, the efficiency of the program was examined through three children with Werdnig-Hoffmann disease.The program was elaborated in 1996 for the children with Werdnig-Hoffmann discase whose language expressions were remarkably limited. It consisted of three areas, "devise control", "letter-learning", and "daily communication". Each area was divided into small steps, and the goal was set up for each child to gain communication ability with computer use in the daily living. The three children actually tried the program in 1997. As a result, they all acquired the devise control skills. Besides, two of them appeared to have improved Hiragana sounds and language expressions. Finally, the program was reevaluated and was partly revised based on the evidence of the study.In conclusion, unsolved problems, such as application of their acquired skills to the daily living situations and extensive practice of the program, must be studied further in the future.